Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Landon Roussel, MD

Individual provider Internal Medicine Physician · NPI 1417397340

Dr. Landon Roussel, MD is an Internal Medicine in Canyon Lake, Texas. Qualified in 2013, 13 years ago. Practices with Gulf Coast Physician Services, PLLC, a 100-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Massachusetts and Washington.

Years since qualifying
13
Licensed in
MA, WA
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1885 Fm 2673 # H112
Canyon Lake, TX 78133-4765
Phone: (206) 786-5171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 603 S Chestnut St, Ellensburg, WA 98926-3875 — (303) 390-1940
  • 502 W 4th Ave, Toppenish, WA 98948-1616 — (303) 390-1940

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 61493897 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 255884 (MA)

Record details

NPI number1417397340
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2013
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Gulf Coast Physician Services, Pllc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Canyon Lake